Pediatrics CMS III Final Exam Questions And Answers. Verified And Updated
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Course
Pediatric
Institution
Pediatric
Pediatrics CMS III Final Exam Questions
And Answers. Verified And Updated.
1. full term
2. post-term
3. pre-term
1. first day of 37th week (37-42 weeks)
2. born on or after first day of week 42 (>42 weeks)
3. born on or before the last day of the 37th week (<37 weeks)
gestational age
...
Pediatrics CMS III Final Exam Questions
And Answers. Verified And Updated.
1. full term
2. post-term
3. pre-term
1. first day of 37th week (37-42 weeks)
2. born on or after first day of week 42 (>42 weeks)
3. born on or before the last day of the 37th week (<37 weeks)
gestational age
number of weeks from the first day of mom's last period
low birth weight is defined as
<2500 grams (5.5 lbs)
VLBW: <1500 g
ELBW: <1000 g
this is not dependent on gestational age; can have a full term baby with low birth weight
T/F: pulmonary HTN is normal in a fetus
TRUE
90% of twins are
dizygotic (fraternal)
-occurs from simultaneous shedding of two oocytes and fertilization by different sperm
monozygotic or identical twins occurs from splitting of the zygote at various stages of
development
T/F: preeclampsia is completely reversible by delivery of the baby
TRUE
-preeclampsia is the leading cause of maternal mortality in the U.S
EXAM STUDY MATERIALS July 25, 2024 1:06 PM
,T/F: if mom is a diabetic, there is a higher risk for the baby to have congenital anomalies
TRUE
-VSD
-neural tube defects
-abnormal GU
-Small left colon syndrome
-Caudal regression syndrome -->almost always infant of diabetic mother
How does ultrasound determine fetal age
measure Crown Rump Length (CRL)
-most accurate between 7-14 weeks
medications used to suppress premature labor
Tacolysis
T/F: baby Johnny is 3 months old therefore he is still a neonate
FALSE
-neonate is less than 1 month old
-infant is less than 1 year old
1. Average for gestational age?
10%-90%
1. Risk for babies born from teen mothers
2. Risk for babies born from older mothers (>38 years old)
1. Risk small gestational age (<10%); premature delivery and low birth weight
2. Downs Syndrome
Clinical problems associated with large gestational age (>90%)
-will have to perform a C. Section or delivery by forceps or vacuum-->more traumatic birth
-this increases the risk for cephalohematoma, birth injuries like clavicle fx, brachial plexus
injury, facial nerve palsy and hypoglycemia
standard tool in assessing newborns that's used immediately after delivery to evaluate their
immediate adaptation to extrauterine life
APGAR
EXAM STUDY MATERIALS July 25, 2024 1:06 PM
,Appearance
Pulse
Grimace
Activity
Respiration
The APGAR score is recorded at 1 minute and 5 minutes. What is the protocol for a cyanotic
baby?
At 1 minute an infant can be cyanotic
-if it does not clear by 5 minutes an additional score should be added at 10 minutes
A baby is just born. Their HR is 90 bpm, they have a good strong cry, they have some bending of
the arms and legs, they grimace and cough during stimulation, and the baby is pink. What
APGAR score should this baby receive? Is this a normal score?
8
-1 point for a HR less than 100 beats per minute
-2 points for strong cry
-1 point for some flexing of arms and legs
-2 points for grimace and cough to stimulation
-2 points for pink color
This is a good score!
>5 in first minutes and 8-10 by five minutes has dec morbidity/mortality
APGAR scores that indicate increased morbidity and mortality
-A score <4 at 1 minute: severe depression requiring immediate resuscitation
-A score <8 at 5 minutes: inc risk of cns dysfunction
remember: normal scores= >5 in first minute and 8-10 in first five minutes
criteria used that aids in determining the gestational age in preterm and term infants
EXAM STUDY MATERIALS July 25, 2024 1:06 PM
, New Ballard Scale
https://www.youtube.com/watch?v=GNqzV7LuFGE
Newborn post-partum routine protocols
1. eye prophylaxis given for chlamydia or gonorrhea
2. prophylaxis against hemorrhagic disease of the newborn
3. newborn screen blood work
4. first vaccine given
1. silver nitrate solution or erythromycin ointment
2. vit K IM
3. hematocrit to look for anemia/polycythemia and coombs test to determine blood type
4. Hep B
fetal hydrops
edema and effusions into the body cavities of the fetus
-can occur as a result of erythroblastosis fetalis (hemolytic disease of the newborn)
A neonate was born just a few hours ago. You notice tachypnea/grunting and increased work of
breathing. You obtain ABG's which show hypercapnia, hypoxemia, and acidosis. What's the
most likely diagnosis? What would you see on CXR? What is this caused by? Best tx option?
Respiratory Distress Syndrome/Hyaline Membrane Disease
-CXR would show air bronchograms and ground glass appearance
-Due to surfactant deficiency
-treat with surfactant replacement and respiratory support
EXAM STUDY MATERIALS July 25, 2024 1:06 PM
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